Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provisions Health

Organization Family Medicine Physician · NPI 1508875840

Provisions Health is a Family Medicine Physician in Eau Claire, Wisconsin. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2522 Golf Rd Ste 2
Eau Claire, WI 54701-6033
Phone: (715) 833-0660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101013727 (MI)

Record details

NPI number1508875840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Wiggins — Physician · (517) 346-7628
NPI enumeratedAugust 5, 2006
Last updated in NPPESDecember 11, 2022
Certification dateDecember 11, 2022
Mailing address9557 S Airport Rd, Dewitt, MI 48820-9104

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